Individual
ALEXIS PAIGE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4342 GALLIA ST STE A, PORTSMOUTH, OH 45662-5563
(740) 529-1184
(740) 576-4118
Mailing address
807 SKIDMORE RD, BIDWELL, OH 45614-9325
(740) 529-1184
(740) 529-4118
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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